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NPI Code Detail

MEDICARE: DEBORAH ANN KING CRNA

MEDICARE: DEBORAH ANN KING CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAPRN.CRNA.09656OH
2367500000XCertified Registered Nurse Anesthetist28965SC

General Provider Information

NPI Number : 1205011145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN KING CRNA
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 7 INDEPENDENCE PT STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4569
Country : US
Telephone Number : 864-522-3700
Fax Number : 864-522-3705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 12/08/2025

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Directions to “ DEBORAH ANN KING CRNA” Practice Location

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